Mack, Benjamin F
Mack, Benjamin F is an individual health care provider with primary practice located at 1003 7Th St Ne , Devils Lake ND 58301-2719. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mack, Benjamin F can be contacted via phone (701) 662-8191.Contact Information
Primary practice address
1003 7Th St Ne
Devils Lake ND 58301-2719
Phone: (701) 662-8191
Fax: (701) 662-5757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2011 | North Dakota |
Profile Details
| NPI number | 1609070226 |
|---|---|
| LBN Legal business name | Mack, Benjamin F |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Jan 13th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609070226 | NPPES |
| North Dakota | MEDICAID | 41412 |
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